Purpose: This package is designed for transgender individuals beginning hormone therapy or those who want to establish a starting point for their health monitoring. It provides essential information about hormone levels, liver and kidney function, lipid metabolism, and blood sugar control.

Why It Matters:

• Testosterone & Estradiol (E2): Establishes initial hormone levels before starting gender-affirming therapy.
• Complete Blood Count (CBC) with Platelets: Ensures overall health and detects anemia or clotting issues before hormone therapy.
• Liver Enzymes (SGOT/AST & SGPT/ALT): Monitors liver function, which is crucial when taking hormone therapy as it can affect liver metabolism.
• Creatinine: Assesses kidney function, especially important for individuals on testosterone therapy.
• Lipid Profile (Total Cholesterol, Triglycerides, HDL, LDL): Monitors cardiovascular risk, as hormone therapy can impact cholesterol levels.
• Fasting Blood Sugar (FBS): Screens for diabetes risk, which may be influenced by hormone therapy.

This is a routine check-up package for those undergoing hormone therapy to track progress and avoid potential side effects.

Tests:

1. Testosterone (Total)
2. Estradiol (E2)
3. Complete Blood Count with Platelet Count (CBCPC)
4. Serum Glutamic-Oxaloacetic Transaminase Test / Aspartate Transferase (SGOT / AST)
5. Serum Glutamate Pyruvate Transaminase / Alanine Transaminase (SGPT / ALT)
6. Creatinine
7. Lipid Profi le (Total Cholesterol, Triglycerides, HDL, LDL)
8. Fasting Blood Sugar (FBS)

Purpose: This package is for transgender individuals who are already on hormone therapy, focusing on regular monitoring of hormone levels to ensure proper dosing and effectiveness.

Why It Matters:
Testosterone & Estradiol (E2): Monitors hormone levels to assess whether the current therapy is effective and safe. Adjustments in dosing may be needed based on these results.

This is a routine check-up package for those undergoing hormone therapy to track progress and avoid potential side effects.

Tests:

1. Testosterone (Total)
2. Estradiol (E2)

Purpose: This package is designed for transgender individuals on hormone therapy who may have suspected thyroid or cardiac comorbidities. It provides
a comprehensive health screening to ensure hormone therapy is safe and well-tolerated while addressing potential underlying conditions.

Why It Matters:

• Testosterone & Estradiol (E2): Establishes initial hormone levels before starting gender-affirming therapy.
• Complete Blood Count (CBC) with Platelets: Ensures overall health and detects anemia or clotting issues before hormone therapy.
• Liver Enzymes (SGOT/AST & SGPT/ALT): Monitors liver function, which is crucial when taking hormone therapy as it can affect liver metabolism.
• Creatinine: Assesses kidney function, especially important for individuals on testosterone therapy.
• Lipid Profile (Total Cholesterol, Triglycerides, HDL, LDL): Monitors cardiovascular risk, as hormone therapy can impact cholesterol levels.
• Fasting Blood Sugar (FBS): Screens for diabetes risk, which may be influenced by hormone therapy.
• Thyroid Function Tests (TSH, Free T3, Free T4): Assesses thyroid health,
  which can infl uence metabolism, mood, and energy levels. Hormone therapy
  can sometimes affect thyroid function, making regular monitoring important.
• 12-Lead Electrocardiogram (12L ECG): Evaluates heart health, especially for
  those at risk of cardiac conditions. Testosterone therapy can impact
  cardiovascular function, so ECG monitoring helps detect early signs of heart
  disease.

This package is recommended for transgender patients who have risk factors or symptoms of thyroid dysfunction or heart disease to ensure their transition is safe and medically optimized.

This is also recommended for patients who want to get overall monitoring annually while on hormone therapy.

Tests:

1. Testosterone (Total)
2. Estradiol (E2)
3. Complete Blood Count with Platelet Count (CBCPC)
4. Serum Glutamic-Oxaloacetic Transaminase Test / Aspartate Transferase (SGOT / AST)
5. Serum Glutamate Pyruvate Transaminase / Alanine Transaminase (SGPT / ALT)
6. Creatinine
7. Lipid Profi le (Total Cholesterol, Triglycerides, HDL, LDL)
8. Fasting Blood Sugar (FBS)
9. Thyroid Stimulating Hormone (TSH) (ECLIA)
10. Free Triiodothyronine (FT3)
11. Free Thyroxine (FT4)
12. 12-Lead Electrocardiogram (12L ECG)